Head injuries in prison

We see so much coverage of “Prison Life” on our TV’s these days, whether we’re watching the soaps, any of those detective programs, or old re-runs of Porridge. And whilst they all hold some truths about what goes on behind bars, one statistic that doesn’t get covered is the percentage of people in prisons with a TBI (Traumatic Brain Injury). The causes of a TBI can vary, the main cause being accidents like falls or vehicle collisions, but also sports injuries, exposure to harsh chemicals, explosion impact waves, and assault.
The University of Glasgow conducted research that 66% of women in prisons reported having some kind of head injury, 89% of which said Domestic Violence was the cause. The sad reality is there is probably even more that have gone unnoticed or undiagnosed because some people are either too afraid to speak up or just accept violence as a part of the prison experience, of which it’s not. A few other studies have been conducted, mostly in the US, and whilst percentages of inmates with some sort of head or brain injury vary, one thing that is for sure is that there is always a bigger percentage for persons in prison in comparison to persons who have not been through the criminal justice system.
So why is this?
Well, unfortunately brain injuries are often more than just physical damage but can have lasting psychological damage too. Mental health issues and personality disorders are common among people with TBI, which then makes the person at higher risk of breaking the law. That is not to say they will, and in fact most people with mental health or personality disorders lead fairly normal, law-abiding lives, but it is one more factor that could potentially push someone into the wrong side of the law. Of the 66% of female Scottish prisoners with a head injury, 40% also had associated disabilities.
From a general 2017 Scottish Prisoner Survey, 39% of prisoners said they were drunk when they broke the law and 38% said they were under the influence of drugs, both of which of course could alter your brain, temporarily and permanently. 30% of female prisoners said they committed a crime for money for drugs, 20% committed a shoplifting offence and 43% said they did not know where they would live upon release. Looking at these numbers, you have to wonder of the exact circumstances that lead to these crimes, which for a great majority would no doubt be desperation or escapism from abuse- from partners, loan sharks or other moneylenders, people being aggressive at them for being homeless, or any other tragic life events of which might have caused some serious injury.
These facts and figures may be focused on Scotland, but there is no doubt that if the same survey was conducted throughout England, it would yield similar results. The University of Exeter did a self-report survey on male prisoners in Exeter, and of 196 participants, 64% had some sort of TBI, and those that did were typically younger upon entry to the system.
When you’ve never been involved in the wrong side of the law, you don’t often give a thought to the motivation of a crime; just boom, that person must be a wrong ‘un for doing that. But here at bthechange, we see the potential in people, we know that sometimes there are explanations; it doesn’t make it acceptable, but we know it doesn’t mean that the person causing offence is a “bad person”. Life is complicated, there are a multitude of reasons for people doing what they do, but we’re dedicated to helping people get back on track to achieving their potential, to help them rebuild their lives and start off from a better position they entered the system in.
Hope| Motivation |
Action | Change
External sources and further reading.
Head injuries suffered by 80% of women prisoners - BBC News
Traumatic Brain Injury Among Prisoners.pdf (brainline.org)
https://www.sccjr.ac.uk/wp-content/uploads/2019/10/7-Scotlands-prison-population.pdf
Why Women Scotland.pdf (prisonreformtrust.org.uk)
Traumatic brain injury in a prison population | Headway
Traumatic Brain Injury in Prisons and Jails (cdc.gov)
United Kingdom: Scotland | World Prison Brief (prisonstudies.org)









